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Leave Application for Mother's Recovery

Zarif Mahmud Nadir, a student at BRAC University, is requesting leave from November 7 to November 9, 2025, to visit his mother who has recently undergone surgery. He assures that he will not miss any classes or activities during this period and seeks approval for his leave. The document includes a warning about the consequences of providing incorrect information and instructions not to alter the document's structure.

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0% found this document useful (0 votes)
9 views1 page

Leave Application for Mother's Recovery

Zarif Mahmud Nadir, a student at BRAC University, is requesting leave from November 7 to November 9, 2025, to visit his mother who has recently undergone surgery. He assures that he will not miss any classes or activities during this period and seeks approval for his leave. The document includes a warning about the consequences of providing incorrect information and instructions not to alter the document's structure.

Uploaded by

zarifnadir7
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Student Name: Zarif Mahmud Nadir

Student ID : 24221165
Academic Section : 12
Dormitory Supervisor/Building/Room: Harun Or Rashid/Nikunjo/612
Date : 5 November, 2025

To:

Dr. Tahseen Ali, Assistant Dean


Senior Lecturer Ms. Chaitee Chakraborty/ Senior Lecturer Mr. Md. Mostafizur Rahman
Faculty Board for Student Academic Administration
Savar Residential Campus, BRAC University

Subject: Application for Leave to Visit My Mother on My Own Cognizance

Dear Pharia chotu:


I hope you are doing well. I would like to inform you that my mother has recently undergone an
operation and I need to visit her to ensure her proper recovery and provide necessary support.
Therefore, I kindly request a leave from Thursday, 7th November 2025, at 11:45 AM to
Sunday, 9th November 2025, at 9:00 AM, on my own cognizance. During this period, I assure
you that no classes, activities or seminars will be missed. I sincerely request your kind
consideration and approval of my leave.

Thanking you for your time,

Sincerely,

( )
Signature of Student Date:

FOR OFFICIAL USE ONLY


---------------------------------------------------------------------------------------------------------------------
APPROVED CONDITIONAL DENIED
STUDENT LEAVE REQUEST FORM (‘FORM 1’)
WARNING: Any incorrect or false information in this petition, or its supporting document
form, intentionally or unintentionally, will void the validity of this request.
WARNING: Do not change the text or structure of this document in any form or manner; this
will automatically void the document and you will be required to redo the form again.
(Form Version date: February 9th, 2025)

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